One of the largest patient populations seen by neuropsychologists are older adults suffering from problems associated with aging. Further, the proportion of the population aged 65 and above is rising rapidly. This book provides a guide to neuropsychological clinicians increasingly called upon to assess this population. The book details in a step-by-step fashion the phases and considerations in performing a neuropsychological assessment of an older patient. It covers procedural details including review of patient's medical records, clinical interview, formal testing, interpretation of test scores, addressing referral questions, and preparing an evaluation report.

Key Features

@introbul:Key Features @bul:* Outlines a clear, logical approach to neuropsychological evaluation * Provides specific clinical practice guidelines for each phase of the evaluation * Integrates clinical practice with up-to-date research findings * Recommends specific tests for evaluating older adults * Details how to interpret test findings and identify the patient's neuropsychological profile * Illustrates important points with examples and case materials, many neuropathologically-confirmed * Includes forms useful in clinical practice


Graduate and undergraduate students in clinical psychology; practicing psychologists seeking continuing education in neuropsychology; psychiatrists; neurologists; geriatricians; nurse practitioners; social workers

Table of Contents

Preface. Activities Preceding Patient Arrival: Clarifying the Referral Question. The Pre-evaluation Letter. Reviewing Records of Previous History. The Clinical Interview: Introducing the Evaluation and Establishing Rapport. Identifying Concerns About the Patient. Obtaining the Background History. Using the Interview to Evaluate the Patient. Concluding the Interview and Transitioning to Formal Testing. General Principles and Guidelines for Formal Testing: Screening Sensory Abilities. Optimizing the Test Environment. Orienting the Patient to Testing. Guidelines for Use of Psychometrists. Principles of Test Design: Reliability and Validity. Choosing Normative Data for Older Individuals. Selecting the Test Battery. Evaluation of General Intellectual Function, Attention, Executive Function, Verbal and Visuospatial Abilities: Assessment of General Intellectual Function. Tests of Specific Abilities. Memory Evaluation in Older Individuals: Memory Systems: Declarative and Nondeclarative Memory. A Model of Remembering New Information. Dimensions for Clinical Assessment of Memory. Test Instruments for Evaluation of Memory. Neuropsychological Profiles of Common Disorders Affecting Older Adults I: Alzheimer's Disease, Frontotemporal Lobar Degeneration. Definition of Dementia. Cortical and Subcortical Dementia Syndromes. Alzheimer's Disease. Frontotemporal Lobar Degeneration. Neuropsychological Profiles II: Vascular Disease, Deme


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© 2000
Academic Press
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Electronic ISBN:

About the author

Joanne Green

Dr. Green is an Associate Professor in the Department of Neurology at the Emory University School of Medicine. She is Chief Neuropsychologist of the Emory Alzheimer's Disease Center at Wesley Woods Health Center, and of the Movement Disorders Program. She has been actively involved in clinical work, research, and teaching on the neuropsychology of older adults for over ten years. She has authored or co-authored over thirty research articles and chapters related to normal and abnormal cognition, with a focus on Alzheimer's disease and Parkinson's disease.

Affiliations and Expertise

Emory University, Wesley Woods Center, Atlanta, Georgia, U.S.A.


@qu:"This book gives comprehensive and thorough up to date coverage of this topic... The author is to be congratulated on producing a book which travels well outside the North American context in which it was written... The book is soundly based in current research and theory... but at the same time conveys a strong sense of clinical experience and wisdom. The reader will not find here a defence of the contribution of of neuropsychology to the management of cognitive disorders in older people, but a better account of the state of the art would be difficult to imagine." @source:--JOURNAL OF NEUROLOGY, NEUROSURGERY, AND PSYCHIATRY